Provider Demographics
NPI:1083866297
Name:HASSLER, ERIN (MS,ATC,LAT,PES)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:HASSLER
Suffix:
Gender:F
Credentials:MS,ATC,LAT,PES
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:GODFREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,ATC,LAT,PES
Mailing Address - Street 1:13136 NORTHVIEW HEIGHTS CT
Mailing Address - Street 2:
Mailing Address - City:BLACK JACK
Mailing Address - State:MO
Mailing Address - Zip Code:63033-4564
Mailing Address - Country:US
Mailing Address - Phone:832-830-6117
Mailing Address - Fax:314-653-1121
Practice Address - Street 1:9119 HIGHWAY 6 # 230-404
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4876
Practice Address - Country:US
Practice Address - Phone:832-830-6117
Practice Address - Fax:314-653-1121
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT24162255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer